Contract 2019-55A.08 - COF 04.27.2020CHANGE ORDER FORM
Contract / P.O. Number. 2019-55 Bid Number:
Change Order Number: 8 Change Order Date: 4.27.2020
Project Name: STREETSCAPE PH 1 Department:
Job Location: WEST AVE AND W OSCEOLA ST
VENDOR INFORMATION:
Company Name: TRAVERSE GROUP. INC.
Address: PO BOX 121764 City, SL, Zip: CLERMONT, FL 34712
Contact Name: ALICIA ROEHN Telephone: 352.409.6630
DESCRIPTION OF CHANGE:
A/teratlon, devlaffon, addition, or deletion caused by condwons encountered during construction not covered by ft rpeclfrcadone and
drawings of Me project (attach edditfonal pages /fnecessary).
ACCIDENT REPAIR AT THE INTERSECTION OF WEST OSCEOLA AND 8TH STREET. SEE INDIVIDUAL
BREAKDOWN
ITEM
OUNT
A.
ORIGINAL CONTRACT VALUE
$ 3,997,913.13
B.
AMOUNT OF THIS CHANGE ORDER:
Must be w9hin the overap scope of sen*va in accordance with conbact specftstlona
$ 1A37$.44_
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A)
% . ...:.: q3%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$ 214,058.96
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D)
council approval regqWiwi ff over$49,999 ($10o,000 forconstructlon) of anWnal contnwt prko OR if
funds are not evaNable io the anoroved budbeffor fhe De arbnent
$ 224,437.38
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
HG.
%.. 5.0%
NEWCONTRACT VALUE (A+E)
$
4,222,350.49
4• 'Z1 '�Ozo �t�e
C NTRACTOR Date PROJECT ARCHITECT / ENGINEER
SAu
±12-k-Zo
PA DERT DIRECTOR Date PURCHASING DIRECTOR / CITY MANAGER Date
Change Orders over 10%, not to exceed $49, 999 ($100, 000 for contraction projects) of the original contract OR not
budgeted, require the Wowing signatures:
CITY OF MONT A:7T�
r
Gall L. Ash, Mayor Date Tracy Ackroyd 146a, City Clerk
Rev. 12-6.19
OsceolaStreetscape Phase 1: Accident Repair at West
ORDERLN
General Description Oty. unit Prlct �xterzd�d PrstQ
Mobilization
1
LS
$ 500.00
$ 500.00
Temp Construction Fence (3 Panels)
1
LS
$ 500.00
$ 500.00
Overtime Labor (4 men 3 hours each)
12
HRS
$ 76.00
$ 900.00
Barricade & Sign
1
LS
$ 250.00
$ 250.00
Remove and Dispose 6" Concrete Sidewalk 34'x8'
1
LS
$ 2,000.00
$ 2,000.00
Remove and Replace 6" Concrete Sidewalk 34'x8'
272
SF
$ 10.95
$ 2,978.40
Remove and Replace Miami Curb 50'
S0
LF
$ 50.00
$ 2,500.00
Remove and Replace ADA Ramp
1
FA
$ 750.00
$ 750.00
Accident at the Intersection of W Osceola St and 8th St
$ 10,378.40
04